2017-2018 School Year Mobile Lab Request

Please fill out all portions of this request form.  Once received Lindsey Moore will contact you for shipment dates and details.  

Part 3 - Teacher Recommendation

Student Information
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Teacher Endorser Information
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Relation Info
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Student Impressions
The student has a high degree of curiosity and interest in science.




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The student works well independently and is capable of being productive with limited supervision.




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The student shows respect and appreciation for others, and in general, works well with others.




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The student has the maturity and sense of responsibility necessary to work in a high-level research setting.




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The student has well-developed interpersonal skills, will ask for help when needed and offer an opinion when asked.




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Student Experiences
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Overall Recommendation
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